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i <br /> � CITY OF ZEPHYRHILLS �'� <br /> ` ' S335-8th Street / <br /> (813)780-0020 17 03 <br /> � ELECTRICAL PERMIT <br /> PERMIT INFORMATION LOCATION INFORMATION <br /> Permit#:17503 Issued: 6/22/2016 Address: 4704 LAFORCE ST <br /> Permit Type: ELECTRICAL MISC ZEPHYRHILLS, FL. <br /> Class �f Work: ELECTRIC SERVICE REPLACEME T Township: Range: <br /> Proposed Use: NOT APPLICABLE Lot(s): Block: Section: <br /> Sq. Feet: Est. Value: Book: Page: <br /> Cost: � 500.00 Total Fees: 40.00 Subdivision: EDGEWOOD <br /> Amount Paid: 40.00 Date Paid: 6/22/2016 Parcel Number: 14-26-21-0260-00000-0180 <br /> CONTRACTOR INFORMATIQN OWNER INFORMATION <br /> Name: �HOMEOWNER Name: HUTSON HENRY & CONNIE <br /> Addr: Address: RR 1 BOX 201 A <br /> ELIZABETHTOWN IL 62931-5610 <br /> Phone: Lic: Phone: 317-997-1923 <br /> Work Desc: REPLACE METER BASE & MAIN DISCONNECT <br /> � APPLICATION FEES <br /> ELECTRICAL FEE 40.00 <br /> � �\� , <br /> r \ <br /> SPE TI S RE U ED <br /> ROUGH ELECTRIC ' <br /> CONSTRUCTION POLE <br /> PRE-METER <br /> FINAL � J <br /> V <br /> REIN�PECTION FEES:(c)With respect to Reinspection fees will comply with Florida Statute 553.80 (2)(c)the <br /> local government shall impose a fee of four times the amount of the fee imposed for the initial inspection or <br /> � first reinspection,whichever is greater,for each such subsequent reinspection. <br /> NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that <br /> may be found in the public records of this county, and there may be additional permits required from other governmental <br /> entities such as water management, state agencies or federal agencies. <br /> "Wa�ning to owner: Your failure to record a notice of commencement may result in your paying twice for <br /> improvements to your properly. If you intend to obtain financing, consult with your lender or an attorney <br /> � " before recording your notice of commencement." <br /> Compl'ete Plans, Specifications and Fee Must Accompany Application. All work shall be pertormed in accordance with City <br /> Codes and Ordinances. <br /> ., <br /> CONTRACTOR PER OFFI <br /> � PERMIT EXPIRES IIV 6 MONTHS WITHOUT APPROVED INSPECTIO <br /> � CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED <br /> ; PROTECT CARD FROM WEATHER <br /> � <br /> � <br /> � <br />� , <br />